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What is Total Disc Replacement?

Total Disc Replacement (TDR) is a surgical procedure designed to remove a damaged or degenerated intervertebral disc and replace it with an artificial one. The primary goal of this procedure is to relieve pain, restore spinal movement, and enhance overall function. Unlike spinal fusion, which limits motion by permanently joining vertebrae, TDR preserves the natural movement of the spine, offering patients a more flexible and long-lasting solution. This procedure can be performed in both the cervical (neck) and lumbar (lower back) regions of the spine. It is typically recommended for patients with the following conditions:

  • Degenerative Disc Disease (DDD): Age-related degeneration of the disc, which can lead to pain, stiffness, and limited movement.
  • Herniated Discs: When the inner material of a disc presses on nearby nerves, causing pain, numbness, or weakness.
  • Spinal Stenosis: Narrowing of the spinal canal, which puts pressure on the spinal cord and nerves.
  • Facet Joint Osteoarthritis: When the small joints of the spine become inflamed and worn out.

Benefits of Total Disc Replacement

Total disc replacement in New Jersey at Gerling Spine Care offers several benefits compared to traditional spinal fusion surgery:

Preserves Motion

Unlike fusion, TDR allows for the preservation of natural spinal movement, which is crucial for maintaining mobility in the neck or back.

Reduced Pain

Removing the damaged disc and replacing it with an artificial one relieves pressure on the spinal nerves, reducing pain, numbness, and weakness.

Faster Recovery

TDR is often associated with a quicker recovery period compared to spinal fusion, enabling patients to return to their normal activities sooner.

No Bone Graft Needed

Unlike fusion surgery, TDR does not require bone grafting, making the procedure less invasive.

Long-Term Results

The artificial disc is designed to mimic the natural function of the spine, providing long-lasting pain relief and mobility.

The Total Disc Replacement Procedure

Total Disc Replacement is typically performed under general anesthesia. Here's an overview of the procedure:

  • Incision: For cervical disc replacement, a small incision is made in the front of the neck, while lumbar disc replacement involves an incision through the abdomen to access the spine.
  • Disc Removal: The damaged or herniated disc is removed, and the surrounding tissue is cleaned to prepare the area for the artificial disc.
  • Artificial Disc Placement: The artificial disc is carefully placed in the empty disc space, restoring the natural height and movement of a healthy disc.
  • Alignment and Verification: The surgeon ensures the disc is properly aligned and restores the spinal alignment. X-rays may be taken during the procedure to confirm positioning.
  • Closure: Once the disc is in place, the incisions are closed with sutures or staples.

The procedure typically lasts between 1 to 2 hours, and many patients can return home the same day or the day after surgery.

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Post-Operative Care and Recovery

After undergoing Total Disc Replacement surgery, patients can expect the following:

  • Hospital Stay: Most patients stay in the hospital for 1 to 2 days, depending on their individual recovery and the complexity of the surgery.
  • Pain Management: Some discomfort is expected, but your doctor will prescribe medications to help manage pain during the recovery period.
  • Physical Therapy: Physical therapy is often recommended to help patients regain strength, flexibility, and range of motion in the neck or lower back.
  • Activity Restrictions: To allow proper healing, patients should avoid heavy lifting and high-impact activities in the early stages of recovery.
  • Recovery Timeline: Most patients return to light activities within a few weeks, with full recovery typically taking between 6 to 12 weeks.

Advantages of Total Disc Replacement

Total Disc Replacement surgery offers several unique advantages over traditional spinal fusion:

Lower Risk of Adjacent Segment Degeneration

Traditional spinal fusion can sometimes cause additional stress on the discs above or below the fused segment, leading to further degeneration. TDR helps reduce this risk by preserving motion in the spine.

Improved Flexibility

The artificial disc restores natural movement, making it easier for patients to perform activities like bending, twisting, and turning.

Lower Likelihood of Future Surgeries

Because TDR maintains normal spinal biomechanics, patients are less likely to require future surgeries on adjacent spinal segments compared to those who undergo fusion surgery.

Risks and Complications

As with any surgery, there are potential risks associated with Total Disc Replacement, including:

  • Infection
  • Nerve injury
  • Bleeding
  • Implant failure or displacement
  • Adjacent segment degeneration (less common than with fusion)
  • Blood clots or deep vein thrombosis (DVT)

At Gerling Spine Care NJ, we take every precaution to minimize risks and ensure a successful outcome for our patients.

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Why Choose Gerling Spine Care NJ?

At Gerling Spine Care NJ, we are committed to offering the most advanced treatments for spinal conditions, including Total Disc Replacement. Led by Dr. Michael Gerling, our experienced team is dedicated to delivering personalized care tailored to each patient’s specific needs. By utilizing minimally invasive techniques and the latest technology, we aim to provide long-lasting pain relief and improved mobility for our patients.

We understand that each patient's situation is unique, which is why we take a personalized approach to treatment, ensuring the best possible outcomes. If you’re suffering from neck or lower back pain due to degenerative disc disease or herniation, contact Gerling Spine Care today to schedule a consultation. Let us help you explore the benefits of Total Disc Replacement in NJ and take the next step toward a healthier, pain-free future.

Our Locations

Gerling Spinecare & Research Institute consists of NY Orthopedics & Gerling Institute NJ. Two practices, one standard of excellence.

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Relief starts with quality orthopedic care. Contact us today to take the next step toward a more active, pain-free life.

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